Herb

Gou Teng

Gambir stems and thorns | 钩藤

Also known as:

Shuang Gou Teng (双钩藤) , Gou Ding (钩丁)

*These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.

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About This Herb*

Traditional Chinese Medicine background and properties

Herb Description*

Gou Teng is a gentle, cooling vine-stem herb best known for calming Liver-related headaches, dizziness, and high blood pressure. It is also widely used for childhood convulsions and seizures caused by high fever. An important note for preparation: it should not be boiled for long periods, as prolonged cooking destroys its active compounds.

Herb Category*

Main Actions*

  • Extinguishes Wind and Stops Spasms
  • Courses the Liver and Drains Heat
  • Calms the Liver and Subdues Yang

How These Actions Work*

'Extinguishes Wind and stops spasms' means Gōu Téng calms internal Wind, a TCM concept that describes involuntary movements such as tremors, convulsions, and spasms. Internal Wind in TCM most often arises from the Liver, which governs the smooth movement of tendons and sinews. Gōu Téng's cool nature and sweet taste allow it to gently settle the Liver and calm this stirring Wind. It is widely used for childhood febrile convulsions, epileptic seizures, and the convulsions of eclampsia in pregnancy. Its anti-spasmodic effect is milder than that of Líng Yáng Jiǎo (Antelope Horn) or Quán Xiē (Scorpion), so for severe convulsions it is typically combined with stronger Wind-extinguishing substances.

'Clears Heat and calms the Liver' describes how Gōu Téng's cool thermal nature helps drain mild Heat from the Liver channel. When the Liver generates excess Heat, it can cause a distending headache, red eyes, irritability, and a flushed face. Gōu Téng clears this Liver Heat, bringing relief to these symptoms. Its Heat-clearing power is moderate rather than strong, so for intense Liver Fire it is usually combined with herbs like Huáng Qín (Scutellaria) or Xià Kū Cǎo (Prunella).

'Subdues Liver Yang' refers to Gōu Téng's ability to bring down the overactive ascending force of the Liver. When Liver Yang rises excessively, it causes dizziness, vertigo, throbbing headache, tinnitus, and a sensation of pressure in the head. Gōu Téng gently settles this rising Yang. This is the action most directly linked to its modern use for high blood pressure with symptoms of dizziness and headache. It is often paired with Tiān Má (Gastrodia) or Shí Jué Míng (Abalone Shell) to strengthen this effect.

Patterns Addressed*

In TCM, symptoms cluster into recognizable patterns of disharmony that reveal what's out of balance in the body. Gou Teng is traditionally associated with these specific patterns.

The following describes this herb's classification within Traditional Chinese Medicine theory and is provided for educational purposes only.

Why Gou Teng addresses this pattern

When Liver Yang rises excessively upward, it produces headache, dizziness, and irritability. Gōu Téng enters the Liver channel with a cool, sweet nature that directly subdues this excessive rising Yang. Its gentle descending action settles the hyperactive Liver, relieving the upward pressure that causes head symptoms. This is the pattern most strongly associated with Gōu Téng, and it forms the rationale for its use in hypertension formulas like Tiān Má Gōu Téng Yǐn.

A practitioner would look for one or more of these signs

Dizziness

Especially with a sensation of upward pressure

Headaches

Distending or throbbing headache, often at the temples or vertex

Tinnitus
Hypertension

High blood pressure with dizziness and facial flushing

TCM Properties*

Temperature

Cool

Taste

Sweet (甘 gān)

Channels Entered
Liver Pericardium
Parts Used

Stem (茎 jīng)

This is partial information on the herb's TCM properties. More detailed information is available on the herb's dedicated page

*These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.

Product Details

Manufacturing, supplier, and product specifications

Product Type

Granules

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Treasure of the East

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Usage & Safety

How to use this herb and important safety information

Important Medical Disclaimer

The information provided here is for educational purposes only and is not intended as medical advice or to replace consultation with a qualified healthcare professional. This herb is a dietary supplement and has not been evaluated by the FDA. It is not intended to diagnose, treat, cure, or prevent any disease.

Always consult with a qualified healthcare provider, particularly if you are pregnant, nursing, have a medical condition, or are taking other medications. Discontinue use and consult your healthcare provider if you experience any adverse reactions.

Recommended Dosage

Instructions for safe storage and consumption

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Special Populations

Pregnancy

Gou Teng has a complex relationship with pregnancy in TCM. On one hand, it is traditionally used to treat pregnancy eclampsia (子痫, zi xian), a dangerous condition of convulsions and high blood pressure during pregnancy, as seen in the classical formula Gou Teng Tang from the Tai Chan Xin Fa. On the other hand, animal studies show that rhynchophylline can stimulate uterine smooth muscle in rats. Because of its cool nature and blood pressure-lowering properties, it should only be used during pregnancy under the guidance of a qualified practitioner, for specific indications such as eclampsia, and not as a casual supplement. Modern sources list pregnant women as a caution group.

Breastfeeding

There is limited specific data on Gou Teng's safety during breastfeeding. While the herb is classified as non-toxic and has a long history of safe use in paediatric practice, the alkaloid components (rhynchophylline, isorhynchophylline) could theoretically pass into breast milk. The sedative and blood pressure-lowering effects are a theoretical concern for nursing infants. Use during breastfeeding should be under practitioner supervision, at standard doses, and for limited duration.

Pediatric Use

Gou Teng has an exceptionally long history as a paediatric herb; for the first thousand years of its recorded use, it was considered exclusively a children's medicine. It is gentle and well-tolerated, commonly used for childhood febrile convulsions, night crying due to Heat, and fright syndromes. Dosage should be adjusted by age: approximately one-third of the adult dose for infants, and one-half to two-thirds for children aged 3 to 12. As with adult use, it must be added late in the decoction (last 5 to 15 minutes) to preserve its active alkaloids.

Dietary Advice

Avoid excessive alcohol consumption while taking Gou Teng, as both have blood pressure-lowering and sedative effects that may compound each other. Avoid excessively greasy, spicy, or Heat-producing foods (deep-fried foods, chilli, lamb), as these may aggravate the Liver Yang or Liver Fire conditions that Gou Teng is typically prescribed to treat. A diet emphasizing cooling vegetables, leafy greens, and light, easily digested foods supports the herb's therapeutic direction.

Cautions & Warnings

Although this herb is typically safe for most individuals, it may cause side effects in some people. Pregnant women, nursing mothers, postpartum women, and those with liver disease should use the formula with caution.

As with any Chinese herbal remedy, it is advisable to seek guidance from a qualified TCM practitioner before beginning treatment.